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KENT STATE UNIVERSITY East Liverpool Campus
2020
Physical Therapist Assistant Program Application Information Packet
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2020 East Liverpool Campus
Physical Therapist Assistant Technology (PTST) Major
Technical Study Application Information
This packet contains important information about the application and selection process for acceptance to technical
study in the Physical Therapist Assistant Technology (PTST) major at Kent State University (KSU). It is each
applicant’s responsibility to acquire, read and understand the application and selection process as described in this packet and available on the PTST webpage. All applicants should meet with an academic advisor while preparing to apply to PTST technical study.
Students in the PTST major, who meet the minimum qualifications, must apply and be accepted to technical study. The
online application to PTST technical study at East Liverpool is due by April 1, 2020. Evidence that the applicant meets
the minimum qualifications must be received on or before the application deadline. It is the applicant’s responsibility
to ensure that all application materials are received in the Physical Therapist Assistant (PTA) program office.
The selection committee ranks and accepts a maximum of 28 students annually to PTST technical study. Accepted
students will begin critical (!) PTST courses in Fall Semester, 2020. Applicants who have not completed BSCI 11010 or
PSYC 11762 may be accepted conditionally with the expectation that these courses are passed with a grade of “C” or
better in the Summer session prior to the start of critical courses.
Students interested in the PTST major are encouraged to attend a regularly scheduled Information Session on either the
Ashtabula or East Liverpool campus. Topics during these sessions include: review of the minimum qualifications, the
application and selection processes, and expectations of students accepted to PTST technical study, and current career
information.
Academic advisors are available on the East Liverpool and Ashtabula campuses to help students in the PTST major
select courses and plan for success. It is strongly recommended that all PTST students meet regularly, in person or by
phone, with an advisor. To schedule an advising appointment, contact the PTA program office at 330-382-7448 or
Thank you for your interest in the Associate of Applied Science degree in Physical Therapist Assistant Technology at
Kent State University. We look forward to helping you reach your career goals.
Physical Therapist Assistant Technology (PTST) at Kent State University Ashtabula Campus, the
expansion program on the East Liverpool Campus, and the Athletic Trainers Transition (PTST-ATT)
concentration are each accredited by the Commission on Accreditation in Physical Therapy
Education (CAPTE), 111 North Fairfax Street, Alexandria, Virginia 22314, telephone: 703-706-
3245; email: [email protected]; website: http://www.capteonline.org. If needing to contact
the program/institution directly, please call Tiffany Kiphart, PTA Program Director at 440-964-
4579 or via e-mail at [email protected]
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PROGRAM INFORMATION
Program History & Accreditation
Kent State University at East Liverpool (KSU-EL) was first accredited in 1989 by the Commission on Accreditation
of Physical Therapy Education (CAPTE) as a Physical Therapist Assistant program. The program was expanded in
1996 to the Ashtabula Campus (KSU-A). The PTA programs on each campus sought and received independent
accreditation from 2005 to 2013. In 2009, KSU-A was also accredited to offer the Athletic Trainers Transitions
concentration, which provides advanced placement to certified athletic trainers.
In April, 2013, KSU received CAPTE approval to re-structure the administration of the Physical Therapist Assistant
Technology (PTST) degree programs under one director and with one accreditation for all degree options offered at
Kent State University (KSU). Independently, the three degree options have consistently received the longest
accreditation periods possible. In November 2015, all three programs were re-accredited for 10 more years.
Physical Therapist Assistant Technology (PTST) at Kent State University at Ashtabula, the expansion program at East
Liverpool, and the Athletic Trainers Transition (PTST-ATT) concentration are each accredited by the Commission on
Accreditation in Physical Therapy Education (CAPTE), 111 North Fairfax Street, Alexandria, Virginia 22314,
telephone: 703-706-3245; email: [email protected]; website: http://www.capteonline.org.
Mission
The Physical Therapist Assistant Program at Kent State University prepares graduates to be employed as physical
therapist assistants who work under the direction and supervision of a physical therapist. Graduates will have the
critical thinking skills, excellent knowledge base, competent technical skills, and behaviors consistent with
expectations of the physical therapy profession and the communities it serves.
Program Goals
The PTA Program will,
1. Graduate students who
a. Earn an Associate of Applied Science in Physical Therapist Assistant Technology
b. Pass the National Physical Therapist Assistant Examination
c. Are employed as a licensed physical therapist assistant
d. Provide safe and effective patient care in a legal, ethical and culturally competent manner
2. Provide a curriculum that
a. Is current, relevant and effective
b. Includes a variety of appropriate learning experiences in both the academic and clinical settings
c. Is sequential and cumulative to facilitate student achievement of the curriculum objectives
3. Retain faculty who
a. Are qualified to teach their content areas
b. Model and mentor the behavioral expectations of physical therapy practitioners
c. Foster an environment of mutual respect and collaborative learning
AAS-PTST Degree
The Associate of Applied Science (AAS) in Physical Therapist Assistant Technology (PTST) provides students with
the knowledge, skills and behaviors necessary to become licensed or certified as a physical therapist assistant (PTA).
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Licensure or certification in most states requires graduation from an accredited PTA program, background clearances,
and passing the National Physical Therapy Examination.
The integrated curriculum includes lecture, lecture/lab, seminar and practicum courses. Core PTST course content is
cumulative and taught in four sequential semesters in a two year cycle. The Technical Study curriculum requires
student to be on campus or in the clinic three to five days per week each term.
Three practicum courses require students to complete a minimum of 640 off-campus clinical education hours under
the supervision of a licensed physical therapist or physical therapist assistant. Under certain circumstances, students in
practicum courses are required to attend clinical rotations on days outside of the academic calendar. These
circumstances may occur on scheduled or unscheduled campus closures or on days when classes are cancelled.
Examples include: certain holidays, spring recess, snow days and/or prior to the start of semesters. The clinical
education schedule is included in this information packet.
Contracted clinical education sites normally require students to demonstrate both medical and background clearances,
as well as the ability to perform the core tasks and essential job functions of a physical therapist assistant. Students
who are unable to perform the core tasks and essential job functions, or who cannot demonstrate medical and
background clearance may not be able to complete the requirements for the Physical Therapist Assistant Technology
degree.
Admission to the PTST major is open to anyone with a high school diploma or its equivalent. Acceptance to
Technical Study is a selective process.
Student Outcomes
The Kent State University graduate with an AAS-PTST degree demonstrates the ability to provide physical therapy
services in a legal, ethical and culturally competent manner.
1. Provides appropriate and effective physical therapy interventions within the plan of care established by a physical
therapist.
2. Effectively communicates with others, teaching or instructing when appropriate.
3. Produces legal and ethical documentation to meet professional expectations and the needs of third party payers.
4. Ethically manages fiscal and human resources to provide high-quality, efficient and cost-effective physical therapy
services.
5. Consistently demonstrates the value-based behaviors of a physical therapist assistant.
CAREERS IN PHYSICAL THERAPY
The physical therapist (PT) and physical therapist assistant (PTA) are part of a team of healthcare professionals who
help patients achieve their goals to improve physical function, whether those goals are to be able to walk or to set an
athletic achievement record. Information about physical therapy, the Role of a Physical Therapist, and the Role of the
Physical Therapist Assistant is available at the American Physical Therapy Association website at www.apta.org, the
Home : Occupational Outlook Handbook: : U.S. Bureau of Labor Statistics at www.bls.gov; or O*Net Online Summary
Report: Physical Therapist Assistants at www.onetcenter.org .
Physical Therapist Assistant Career Overview (Retrieved from www.apta.org; June 2014)
Physical therapists and physical therapist assistants (PTAs) under the direction and supervision of a physical therapist are the
only providers of physical therapy services. In many practice settings, physical therapists rely on the PTA to assure that all
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patients/clients have access to physical therapy services. Physical therapy has a long history of returning individuals to their
maximum level of physical function and in many cases, patients are being sent to physical therapy instead of surgery.
Patients/clients value the individualized, "hands on" approach that characterizes physical therapy care. When a physical
therapist sees a patient/client for the first time, he or she examines that individual and develops a plan of care that promotes the
ability to move, reduces pain, restores function, and prevents disability. The physical therapist may choose to utilize a PTA in the
provision of components of the physical therapy treatment. The physical therapist, PTA, and the patient/client then work side-by-
side to make sure that the goals of the plan or care are met.
Depending on the particular needs of a patient/client, physical therapists may direct components of a patient/client's interventions
(treatments) to a PTA. PTAs provide a variety of physical therapy techniques as they carry out the physical therapist's plan of
care for the patient, including therapeutic exercise, functional training, deep soft tissue massage, and physical modalities such as
electrotherapy and ultrasound. PTAs may also assist the physical therapist by working with individuals to prevent loss of
mobility by implementing fitness- and wellness-oriented programs for healthier and more active lifestyles.
Benefits of a Physical Therapist Assistant (PTA) Career (Retrieved from www.apta.org; June 2014)
There are many reasons you should consider a career in physical therapy.
Make a Difference. "I feel that this career has allowed me to help my patients, community, and fellow staff members. When
choosing a profession, I was looking for options that would allow me to make a difference while having the freedom to do different
things. I feel that I've found that by being a PTA," said Julie Meseck, PTA. Whether the patient's problem is a result of injury
or disease, the physical therapist assistant is an important part of the rehabilitation team dedicated to returning the patient to
maximal function. Physical therapist assistants also work with individuals to prevent loss of mobility through implementing
fitness- and wellness-oriented programs under the direction and supervision of a physical therapist.
Be a Movement Expert. Physical therapist assistants receive an intensive 2-year (usually 5 semesters) education in human
movement and physical function. Physical therapy is an essential element of patient care to promote the patient's ability to move,
reduce pain, restore function, and prevent disability. Depending on the particular needs of a patient, physical therapists may
choose to utilize a PTA to provide therapeutic exercise, functional training, or soft tissue massage. PTAs may also provide
electrotherapy, ultrasound, and other treatments when included in the physical therapist's plan of care for the patient.
Enjoy Job Security. For individuals looking for a rewarding career in a struggling job market and down economy, a career
in physical therapy could be the perfect answer. The soaring demand for physical therapist assistants can be attributed to the aging
population, particularly baby boomers who are more vulnerable to chronic and debilitating conditions that require physical therapy
services. According to the Bureau of Labor Statistics, the demand for physical therapist assistants is expected to spike upward by
an astonishing 35% between 2008 and 2018-a much quicker rate than average. As of 2010, there are approximately 63,800
licensed/certified physical therapist assistants working in the United States, and that number is expected to jump to 85,000 over
the next 10 years.
Love Your Job. Helping people to attain or regain the ability to walk and carry out daily life can lead to a great feeling of
personal satisfaction. According to the Bureau of Labor Statistics, the median annual wages of PTAs in May 2008 were over
$46,000 with the highest salaries in home health care services and nursing care facilities. Physical therapy services are typically
offered during normal working hours, which contributes to life balance for many PTAs.
Choose Your Location. Physical therapist assistants work with patients of all ages all across the country. Choose from a
wide range of locations and work settings, including hospitals, private practices, outpatient clinics, home health agencies, schools,
sports and fitness facilities, employer settings, and nursing homes.
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Expand Your Skills. Many PTAs expand their responsibilities in the clinical setting by assuming additional knowledge,
skills, and responsibilities in medical billing and coding, clinical management, education, quality improvement, and risk
management.
Required Licensure or Certification to Work as a PTA
Licensure or Certification is required to work as a Physical Therapist Assistant. Earning an associate degree from
an accredited PTA program is the first step in being eligible for licensure as a physical therapist assistant. Graduates
must also pass the National Physical Therapy Examination (NPTE) and meet all the standards of the state jurisdiction
where they plan to work. Each student is responsible for understanding the laws and rules controlling the practice of
physical therapy in their home state. The Federation of State Boards in Physical Therapy (www.fsbpt.org) manages the
NPTE and provides access to licensing authorities. In Ohio the licensure process is under the direction of the Ohio
Occupational Therapy, Physical Therapy, and Athletic Trainers Board. (http://OTPTAT.ohio.gov/)
Market Outlook
The U.S. Department of Labor Bureau of Labor and Statistics gives the physical therapist assistant (PTA) career
outlook their fastest growing ranking ("much faster than average") and projects that between the years 2014-2024, the
need for PTAs and physical therapy aids will increase by 40% in response to the healthcare needs of a growing elderly
population
Nationally, O-Net Online projects the market for PTAs to have a "Bright Outlook" with 45,000 projected job openings
over the 10 year period ending in 2022. O-Net Online also reports the median wages for PTAs in 2018 at $58,040
annually, with a mean hourly wage of $27.91. Pay rates for skilled nursing facilities and casual call therapists tend to be
higher due to the high demand for personnel in these positions. While the national job outlook is strong, local
demand for PTAs may vary.
EXPECTATIONS OF PTST STUDENTS
Essential Functions of a PTA
Essential functions are the abilities, knowledge, and skills required for a career as a physical therapist assistant. The
Summary Report for 31-2021.00 Physical Therapist Assistant, available at www.online.onetcenter.org , provides a
detailed list of the technology, tools, knowledge, skills, abilities, work activities and work context, as well as other career
related information.
PTA students must be confident that, with reasonable accommodations, they are able to perform the essential functions
of a PTA. Impairments that limit the student’s ability to perform core tasks may affect program progression, licensure,
and career opportunities. Any future PTA student with a concern regarding the ability to perform core tasks, should
discuss this with a program advisor.
Core Tasks of a PTA: partial list of the work activities of a PTA
Instruct, motivate, safeguard, and assist patients as they practice exercises or functional activities.
Observe patients during treatments to compile and evaluate data on their response and progress and provide
results to the physical therapist in person or through progress notes.
Confer with physical therapy staff or others to discuss and evaluate patient information for planning,
modifying, or coordinating treatment.
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Administer active or passive manual therapeutic exercises, therapeutic massage, aquatic physical therapy, or
heat, light, sound, or electrical modality treatments, such as ultrasound.
Measure patients' range-of-joint motion, body parts, or vital signs to determine effects of treatments or for
patient evaluations.
Communicate with or instruct caregivers or family members on patient therapeutic activities or treatment
plans.
Transport patients to and from treatment areas, lifting and transferring them according to positioning
requirements.
Secure patients into or onto therapy equipment.
Train patients in the use of orthopedic braces, prostheses, or supportive devices.
Assist patients to dress, undress, or put on and remove supportive devices, such as braces, splints, or slings.
Background Clearances
All students in PTST technical study are required to complete a civilian background check during the second
semester, and are expected to disclose the report to any assigned clinic site that requests the information. A negative
report may prevent the student from being a) accepted as a student at a specific clinical site, b) approved by a
jurisdiction for license, or c) being hired as a PTA. Students who are refused placement in three clinic sites will
not be able to complete the degree requirements for the AAS-PTST degree. Students with concerns about their
background should consult with an attorney, and their licensing authority.
The practice of physical therapy is regulated by state and federal law. Many jurisdictions require federal and state
background clearances before a license is granted. Students with a previous conviction may not be approved to be
licensed or sit for the National Physical Therapy Examination (NPTE).
Medical Clearances
Physical Therapy clinics have a duty to protect the patients and staff in their facilities, therefore licensed PTAs and
students in PTST technical study are required to document their health status and are expected to provide this
documentation to assigned clinic sites. Disclosure of personal medical information may include: immunization
records, drug test results, physical exam, laboratory tests, or other requested medical information.
Kent State University has no use for student medical or background information, other than to assist students to meet
the requirements of contracted clinical education sites. Signed consent, by the student, allows the ACCE or Program
Director to disclose requested confidential information to a student’s assigned clinic site. The Program only serves as
a conduit between the student and clinic sites and does NOT maintain any electronic or paper images of a students’
medical records.
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Statistics for East Liverpool Campus PTST Technical Study Students: Updated April 2019
CATALOG YEAR 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 2019-20
Start Date Aug-13 Aug-14 Aug 15 Aug-16 Aug-17 Aug-18 Aug-12
Two year Graduation Date May-15 May-16 May 17 May-18 May-19 May-20 May-14
APPLICATION DATA
Total Applicants 65 45 43 44 33 31 30
Number of Qualified Applicants 48 34 38 39 29 28 15
Number of Students Accepted 30 31 26 28 24 22 15
Acceptance Rate of Qualified 63.0% 91.2% 68% 72% 82.7% 78.5% 100%
Admit Previously Decelerated --- --- --- --- --- --- 2
DEMOGRAPHIC DATA
Average Age 29.6 26 26 23 25
Average GPA 3.7 3.4 3.36 3.3 3.2
Lowest Points accepted 95 71 77 84 78
Percentage Male 25.0% 33.0% 38% 35% 20%
Percentage Minority 0.0% 0.0% 3.8% .03% 2.0%
Previous Bachelor’s degree 1 4 4 8 5
Previous Graduate Degree 0 0 2 0 0
OUTCOMES DATA
Class Size (Day 10) 28 27 26 28 24
# Graduated in 2 years 18 17 24 25 17
2 year graduation rate 64.2% 62.9%^
92% 89% 71%
# Decelerated Students --- ---
--- --- 5 2
NPTE First attempt 93.8% 94.1% 87.5% 84%
NPTE All Attempts 100% 100% 95.8% 92%
1 Year Employment Rate (Change
from 6 month for 2014 grads) 96% 100%
91% n/a
* Withdrawn for non-academic reasons is not calculated ^ = Incomplete Data n/a = Not Available --- = data not collected until 2018-19, New CAPTE reporting standard
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Roadmap: AAS-PTST (See the next page)
The PTST degree requires 65 credit hours with twenty-seven (27) total courses, including clinical education experiences.
The courses listed on the following page includes required Kent Core general studies and related courses that may be
transferred from another institution or completed prior to applying to PTST technical study. The sixteen (16) critical
(!) courses may only be taken after acceptance to PTST technical study, and must be taken in the semester and order
listed. The sequencing of critical (!) courses requires four semesters to complete the degree requirements, regardless of
how many non-critical classes are completed prior to acceptance to PTST technical study.
It is recommended, but not required, that students complete some of the non-critical courses prior to applying for
acceptance to technical study. Completing non-critical courses early increases the chance of being accepted, and
decreases the academic load during the four (4) semester of technical study. Please note: students accepted to PTST
technical study that previously complete most of the non-critical courses may not be a full time (12 credit
hours or more) student while completing the AAS-PTST degree.
Curriculum details, including course descriptions, prerequisites and schedules are available in the Kent State University
Catalog 2018
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Roadmap: Physical Therapist Assistant Technology – Associate of Applied Science: This roadmap is a
recommended plan of study. Courses and milestones designed as critical (!) must be completed in the semester listed to ensure a
timely graduation. 6/6/17
Critical Course Subject and Title Credit Hrs.
Min. Grade
Summer or Fall 1
BSCI 11010 FOUNDATIONAL ANATOMY AND PHYSIOLOGY I (KBS)
(KLAB)
3 C
PSYC 11762 GENERAL PSYCHOLOGY (DIVD) (KSS) 3 C
UC 10097 DESTINATION KENT STATE: FIRST YEAR EXPERIENCE 1 C
KENT CORE REQUIREMENT 3 C
CREDIT HOURS 10
SEMESTER ONE (EL=Fall; ASH=Spring)
AHS 12010 PROFESSIONALISM IN HEALTHCARE 1 C
AHS 24010 MEDICAL TERMINOLOGY or HED 14020 MEDICAL
TERMINOLOGY
1-3 C
BSCI 11020 FOUNDATIONAL ANATOMY AND PHYSIOLOGY II (KBS)
(KLAB)
3 C
PTST 10000 INTRODUCTION TO PHYSICAL THERAPIST ASSISTANT 1 C
! PTST 10001 PRINCIPLES OF PATIENT CARE IN PHYSICAL THERAPY 4 C
! PTST 10003 CLINICAL CONDITIONS I 2 C
CREDIT HOURS 12-14
SEMESTER TWO (EL=Spring; ASH=Fall)
AHS 12005 CONCEPTS IN LIFESPAN DEVELOPMENT 3 C
! AHS 22002 CLINICAL KINESIOLOGY 3 C
! AHS 22003 CLINICAL KINESIOLOGY LABORATORY 1 C
! PTST 10004 PHYSICAL THERAPY PROCEDURES I 4 C
! PTST 11005 PHYSICAL THERAPY PRACTICE I 2 C
KENT CORE REQUIREMENT 3 C
CREDIT HOURS 16
Summer (EL)
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PTST 11092 CLINICAL EDUCATION I (ELR) (East Liverpool Campus) 0-1 C
CREDIT HOURS 0-1
SEMESTER THREE (EL=Fall; ASH=Spring)
! PTST 11092 CLINICAL EDUCATION I (ELR) (Ashtabula Campus) 0-1 C
! PTST 20003 CLINICAL CONDITIONS II 2 C
! PTST 20004 PHYSICAL THERAPY PROCEDURES II 4 C
! PTST 22005 PHYSICAL THERAPY PRACTICE II 2 C
! PTST 22092 CLINICAL EDUCATION PRACTICUM II (ELR) (East Liverpool
Campus)
0-2 C
Kent Core Requirement 3 C
CREDIT HOURS 14
SEMESTER FOUR (EL=Spring; ASH=Fall)
! PTST 20006 PHYSICAL REHABILITATION PROCEDURES 4 C
! PTST 20008 CLINICAL CONDITIONS III 2 C
! PTST 22007 PHYSICAL THERAPY PRACTICE III 2 C
! PTST 23092 CLINICAL EDUCATION PRACTICUM III (ELR) 2 C
Kent Core Requirement 3 C
CREDIT HOURS 13
SUMMER 3
PTST 22092 CLINICAL EDUCATION PRACTICUM II (ELR) (Ashtabula Campus) 0-2 C
CREDIT HOURS 0-2
MINIMUM TOTAL CREDIT HOURS: 65
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APPLICATION TO PTST TECHNICAL STUDY
A. Minimum Qualifications for Consideration
1. Admitted Kent State University student (Apply Now)
2. Declared in the AAS-PTST major (see an Academic Advisor for instructions to change your major)
3. Submit the online PTST Technical Study Application -- The deadline is April 1, 2020 at 5:00 pm
a. The online application is available at the PTST Program website
b. Late applications are considered on a first come, first served basis until the class is full.
c. Admission to PTST technical study is a separate process from admission to the University
and requires a separate application.
d. There is no fee to apply for PTST Technical Study.
e. Information needed to complete the online application to PTST Technical Study:
Contact Information: Name, address, phone, [email protected]
Kent ID Number (9-digit number begins with 810...)
High School: School and year graduated, OR GED and date received
Previous colleges: Name, dates attended, cumulative GPA, and if applicable degree awarded
Observation Information: Total hours, dates attended, facility names and city
4. Minimum 2.7 cumulative GPA from the most recent academic experience of 12 credit hours or more
5. Demonstrate readiness for college level coursework with competence in reading, algebra, and writing in one of
the following methods: *
a. Results of ACT, SAT, or KSU admissions testing
b. Complete all AND earn a C/2.0 or better in all developmental courses prescribed during the KSU
admissions process.
Algebra = Math 00023
Writing = ENG 01001
Reading = US 00006
6. Submit Observation Forms ^
a. UP TO THREE (3), with a MINIMUM of (2) Observation Forms
20 hours of inpatient observation (a setting where the patient stays overnight)
20 hours of outpatient observation (a setting where the patient travels to the clinic site).
Additional 20 hours of observation in ANY setting where Physical Therapy is performed is
considered a BONUS observation experience and the applicant is awarded 5 extra points in
the application scoring if they are “Highly Recommended” or “Recommended”
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Completed within two years of the application to technical study.
Adhere to the guidelines and expectation of the clinic site.
Maintain the confidentiality of all observed patients at the clinical site. State and federal law
prohibits revealing patient names or other personal information.
b. Schedule: Contact PT departments near your work or residence.
Tell them you are applying to a PTA program.
Ask if you could spend time observing in their clinic to learn more about the profession.
Schedule the times you will be at the clinic site.
Applicants are not permitted to complete observation hours (for program application) with
relatives.
c. Upon completion of each observation experience:
Applicant completes Part I of the Observation & Recommendation Form
Ask the licensed PT or PTA that was observed to complete Part II of the form.
Ask the PT clinic to fax the form directly to the Kent State University PTA Department.
Forms are not accepted from the applicant and cannot be reviewed at any time by the
applicant.
Watch for email confirmation that the form was received. Forms are kept on file in the PTA
office for 2 years.
* Applicants are considered for acceptance when registered in the KSU courses needed to be minimally qualified in #5-
Demonstrate readiness for college level coursework.
^ Applicants are Not Qualified for acceptance to technical study if “Not Recommended” on two Observation Forms,
receive zero (0) points from the interview, or are banned from any clinic site.
B. Recommended Preparation
1. Attend an Information Session, scheduled monthly on each campus.
2. Schedule advising appointments each semester. Academic advising is done via email, ([email protected]),
telephone or in person. Call 330-382-7448 or email [email protected] to schedule an appointment.
3. Complete all coursework needed to meet the minimum qualifications for acceptance to technical study.
4. Complete non-critical PTST courses to build technical study application points (See Selection Process).
5. Schedule and complete observation time in two (2) Physical Therapy departments.
6. Submit the online Application to PTST Technical Study.
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C. Plan for Interview Day
Group interviews of the top 45 most academically qualified applicants are schedule via kent.edu email notification.
Applicants selected for an interview will receive an email ([email protected]) invitation at least one week prior to
interview date with instructions to confirm their interview time. All interviews will be conducted between 9:00
am and 4:00 pm on Friday, April 17, 2020.
The purpose of the interview process is to assess the applicant’s behaviors and generic abilities, which are needed in
addition to a strong academic record for success as a student in Physical Therapist Assistant Technology at Kent
State University. Interviews are approximately 30 minutes in length and normally include 3-4 interviewees with
approximately 4 interviewers. The average rating of all interviewers determines the number of application points
awarded. The interviewers assess the following eight categories:
Communication & Interpersonal Skills
Decision Making and Critical Thinking
Understanding of the Profession of Physical Therapy/Motivation
Stress Management
Time Management
Creative Processing
Professionalism
Overall Impression & Recommendation
D. Essay: After completion of the interview applicants will complete an essay writing which is graded on the following
criteria:
Follows directions (as detailed during the essay writing)
Organized thoughts and ideas that convey an articulate message
Excellent spelling, grammar and punctuation
Interest in the Physical Therapy Profession
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APPLICANT SELECTION PROCESS
All complete applications with documentation of the minimum qualifications are evaluated and ranked in the first
three (3) selection criteria(*). Points are assigned based on information acquired in the KSU academic record. The top
45 applicants are invited to interview and submit an essay. Seats in the class are offered to the applicants with the
highest total points in all 7 criteria. Acceptance to technical study continues until a maximum of 28 students are
accepted, or first semester classes begin. Selection Criteria: 160 possible (with observation bonus included)
1. * Grade Point Average………………………………………………………………….……..Maximum of 40
points
4.0 - 40 points
3.9 - 37
3.8 - 34
3.7 - 31
3.6 - 28 points
3.5 - 25
3.4 - 22
3.3 - 19
3.2 - 16 points
3.1 - 13
3.0 - 10
2.9 - 0
2.8 - 0
2.7 - 0
Note: High School graduates with less than 12 college credit hours receive double GPA points in lieu of College Course Taken or Course
Bonus points.
2. * College Courses Taken………………………………………………..……………………Maximum of 40
points
Each of the 10 open enrollment courses are awarded points based on the grade received in each course:
A = 4 points, B = 3 points, C = 1 points
BSCI 11010 Foundational Anatomy & Physiology I or ATTR 25057 or BSCI 22010 or EXSC 25057
BSCI 11020 Foundational Anatomy & Physiology II or ATTR 25058 or BSCI 20020 or BSCI 22020 or EXSC 25058
NURS 20950 Human Growth & Development or AHS 12005
PSYC 11762 General Psychology
PTST 10000 Introduction to PTA
PTST 10009 Medical Terminology or HED 14020
Kent Core Courses: Humanities and Fine Arts; Mathematics and Critical Reasoning; Composition I; Social Sciences
3. * Course Bonus…………………………………………………………………….……….......Maximum of 5
points
One additional point is awarded for completion of these courses with a C/2.0 or better:
MATH 10041 Introductory Statistics BSCI 11010 Anatomy & Physiology I, or equivalent
PHY 12111 Physics for Health Technologies when completed within last 5 years
MATH 11010 Algebra for Calculus BSCI 11020 Anatomy & Physiology II, or equivalent
when completed within last 5 years
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4. Essential Behaviors (from observation experiences) ………………………………….Maximum of 12 points
A licensed therapist rates the applicant in 6 criteria based on experiences during observation hours.
Two points possible for each criterion. Points awarded for the lowest of the two ratings in each criteria.
~ Reliability / Accountability ~ Inquisitiveness, Motivation, Independence
~ Verbal / Non-verbal communication ~ Professionalism, Maturity, Ability to work with others
~ Interpersonal Skills ~ Intellectual Potential, Judgment & Common Sense
5. Observation Experience Recommendation …………………...…………..……..…….…Maximum of 8
points
Highly recommended 8 Average of all recommendations for total points
Recommended 4
Recommended with reservation 0
Not Recommended -8 Note: Students “not recommended” by two clinicians are not
considered for acceptance into PTST technical study
6. Interview ……………………………………………………………............................Maximum of 40 points
Ratings from all interviewers are averaged together. See previous page for criteria.
7. Essay ……………………………………………………………………..........................Maximum of 10 points
See previous page for grading criteria.
8. Observation Bonus (if highly recommended or recommended)………………………….Maximum of 5 points
D. Selection Notification
The PTST Program uses the Applicant Selection Process (next page) to select up to 28 applicants to begin PTST
technical study. All selection notifications are sent to the students KSU email address according to the
following schedule. Please do not call unless you did not received an email.
Selected to Interview – by April 10, 2020
Not Qualified & Not Interviewed – April 10, 2020
Selection Process Results (Selected, Alternate & Not Selected) – by 3rd week of May
Applicants not accepted to technical study in a given year may re-apply in a subsequent year. Observation and
Recommendation forms are valid and kept in the PTA office for two (2) years after the last observation date.
Students not selected are encouraged to meet with a program advisor to review the strength of their application
and establish a plan to meet their academic and career goals.
If a student accepts a seat in the PTA Program and attends program orientation then withdraws from one or all
PTST technical study courses, this is considered a Failure to Progress. If a student is offered a seat in the PTST
technical study program but declines the offer they must re-apply to the technical study if they want to be
considered for admission after the initial acceptance.
P a g e | 16
Transfer Student Policies
Transfer course credit
The Kent State University (KSU) Transfer Center evaluates the transcripts provided during the KSU admissions
process. All previous coursework is recorded and recognized as “Earned Credit”. Any course listed as equivalent to a
KSU course in the Transfer Credit Guide is guaranteed to transfer to KSU as the course listed. Any student with a
previously earned Bachelor’s degree automatically receives credit for all Kent Core general studies requirements.
Students may petition a department to re-evaluate any transfer course that does not have an equivalent KSU course.
[Indicated by KSU course numbers with an “X” (Example: PSYC 1X135)]. Petitions may only be submitted after the
student is accepted to KSU and the Transfer Center has completed the process of evaluating the transcript. Please
consult your advisor regarding the process to petition for transfer credit.
Students must monitor the Graduation Planning System (GPS) Audit to confirm that transfer courses are recognized
as meeting the graduation requirements of the AAS-PTST degree. Petitions to recognize transfer course credit
should be completed during the first semester at KSU.
Transfer from another PT or PTA Program
Students who transfer from another physical therapist or physical therapist assistant degree program must apply and
be accepted to PTST technical study. Courses previously completed at another institution do not transfer as
equivalent to PTST courses at KSU.
Credit by Exam (CBE) is available by department approval for certain PTST courses in the curriculum. Students
requesting department approval for CBE must apply and be accepted to PTST technical study; and provide
documentation of the following from their previous academic experience.
a. Institution – Good academic standing and cumulative GPA of 2.7 or better.
b. PT or PTA coursework – Minimum grade of C in comparable coursework as demonstrated with official
transcripts and a course syllabus; or a credentials evaluation for foreign educated physical therapist or physical
therapist assistant.
Students approved for CBE have one (1) attempt to pass the written and final exams with 72% or better. Any student
who is unsuccessful in CBE must take and pass the course.
Upon faculty approval for CBE,
a. The faculty provide the student with a course syllabus, including textbook, required reading and course
objectives. Upon request the student is also provided with lecture objectives.
b. The student submits the CBE form and pays the required fees to the KSU Registrar’s Office.
c. The student independently studies for and completes the proctored exam(s).
Transfer between campuses at Kent State University
Students apply and are accepted to PTST technical study at either the Ashtabula or the East Liverpool campus. Once
admitted to technical study, a student is encouraged to complete the degree at that campus. Students who are in good
academic standing have one opportunity to request a transfer to the other campus. Note: Transferring between
campuses is a Failure to Progress, as defined in this Program Handbook, which will result in delayed graduation and
may require competency testing to re-enter technical study.
P a g e | 17
Approval of a campus transfer request is dependent upon the availability of a seat in the class. Students who transfer
to the other campus in the 1st, 2nd, or 3rd semester of technical study must complete all remaining degree requirements
and graduate from that campus.
Transfer between health care programs at Kent State University
Students who have been dismissed for academic reasons from a health care program at Kent State University are
eligible to apply for acceptance to technical study in another health care program at KSU as long as they meet the
admission requirements of the program to which they are transferring to and there is available space in the program.
Students who have been dismissed from a health care program at any campus of Kent State University for other
specified reasons may not enroll in another health care program or transfer to another campus within the same health
care program. Specified reasons include, but are not limited to: failure to pass a background check screening,
falsification of information or documentation, plagiarism, unprofessional behavior, use of drugs or alcohol, breach of
confidentiality, threatening or manipulative behavior, failure to maintain professional boundaries with clients, and
other behavioral or ethical issues identified at the discretion of the Dean. This does not include dismissals for
academic reasons.
The health care programs referred to herein include nursing, occupational therapy assistant technology, physical
therapist assistant technology, radiologic technology and respiratory therapy technology, and any other health-related
programs identified by the Dean.
ADDITIONAL INFORMATION
Working While in PTST Technical Study
Many students continue to work while completing the critical courses in PTST technical study, however the ability to
do this is dependent upon work schedule flexibility, semester schedule and credit hour load, as well as the student’s
learning style and other responsibilities. Students are expected to attend all scheduled classes, and must be available for
the required full-time clinical education experiences during the final year. It is strongly recommended that students not
work full-time once accepted to technical study.
Tuition and Fees
Tuition at Kent State University Regional Campuses, for undergraduate coursework during the 2018-19 academic year
is $258 per credit hour or $2,832 for 11-17 credit hours per semester for Ohio residents, and $620 per credit hour or
$6,812 for 11-17 credit hours per semester for non-Ohio residents. Please see the Bursar’s webpage for further
information or questions.
Tuition Guarantee
Beginning with the fall 2018 academic year, Kent State will offer all eligible new first-year undergraduate and transfer
students the certainty that the Ohio resident tuition rate (i.e. instructional and general fee) career services fee, as well as
room and board plan charges will not increase for their applicable cohort rate. Please see the New Tuition Guarantee
link for more information.
There is a $12 per credit hour fee for most PTST courses to cover the cost of lab supplies and some course and program
requirements. Fully online undergraduate courses are also assessed an additional per credit hour fee. Tuition and fees
are subject to change, please ask your academic advisor for the current PTST Cost Sheet.
P a g e | 18
Students in the following counties are eligible for a tuition surcharge reduction up of up to $6,000 per year (depending
on number of registered hours): Brooke, Hancock, and Ohio counties in West Virginia; Allegheny, Beaver, Butler,
Crawford, Erie, Lawrence, and Mercer counties in Pennsylvania. Additional information is available at
http://www.kent.edu/bursar/tuition-and-fees or contacting Chris Winland at 330-382-7557.
Financial Aid and Scholarships
Many students in PTST technical study receive some form of financial aid. If you are interested in applying for financial
aid, please start by completing the FAFSA form (government financial eligibility form) online at www.fafsa.ed.gov.
Information on general financial aid and scholarships is available from the Office of Financial Aid, 330-382-7557, or
by email at [email protected].
Complaints
The PTST Program makes every effort to be fair and objective in every decision that affects students. However,
occasionally mistakes and/or miscommunication do occur. In those instances when a student wishes to challenge a
decision, appropriate behaviors are essential to resolving the concerns in a professional manner.
The following step-wise progression should be used to achieve an appropriate resolution to any concern. It is normally
inappropriate to bypass a step to “go right to the top”. When resolution/understanding is achieved the process ends
without going to the next person on the list.
1) Self-assess and review your facts and perceptions.
2) Make an appointment with the Program Director to express your questions or concerns.
3) Should you still have a concern, consult the campus Assistant Dean.
Kent State University Administrative Policy 8-01.4 provides information regarding the formal complaint process at
Kent State University. Complaint forms and process may be obtained from the Assistant Dean.
Equal Opportunity
In academic and student programs, it is the policy of this University that there shall be no unlawful discrimination
against any student or applicant for admission as a student because of race, color, religion, gender, sexual orientation,
national origin, handicap, or identity as a disabled veteran or veteran of the Vietnam era. Such policy shall apply to, but
not necessarily be limited to, the following: recruiting, admission, access to programs, financial aid, and social,
recreational, and health programs. This policy shall be applicable to all campuses and units of the University. This
policy shall also apply with reference to discrimination on a basis of age insofar as required by law. Inquiries regarding
federal regulations and state law may be directed to the Office of Affirmative Action, Wright Hall, Kent State University,
Kent, Ohio 44242-0001.
Access and Accommodations
Kent State University recognizes its responsibility for creating an institutional climate in which students with
disabilities can succeed. In accordance with University Policy, if you have a documented disability, you may request
accommodations to obtain equal access and to promote your learning in this program. Please contact Danielle Baker-
Rose, the Disability Specialist, by e-mail [email protected] to inquire about appropriate accommodations. After
your eligibility is determined, you will be given a letter, which when presented to your instructors, will help us know
best how to assist you.
P a g e | 19
Technical Study Schedule: East Liverpool Campus PTST Class of 2022
Term Academic Dates Notes
Spring 2020 Technical Study
Application Deadline
April 1, 2020
Summer 2020 May 14-Aug 12, 2020 Must complete BSCI 11010
and PSYC 11762
Fall 2020 Semester 1 Aug 27 – Dec 17, 2020 Must complete BSCI 11020,
PTST 10000 and AHS
24010 in addition to critical
PTST courses
Fall Break 2020 October 15-18, 2020
Spring 2021 Semester 2 Jan 19-May 12, 2021 Must complete AHS 12010,
12005 AND critical PTST
courses
Spring Break 2021 March 29-April 4, 2021
Summer 2021 May 20 – Aug 18, 2021 Recommend completion of
Kent Core requirements
Practicum in CE I May 17-June 11, 2021 Full-time, 4 weeks
Fall Term 2021 Semester 3 Aug 26 – Dec 12, 2021
Classes Aug 26 – October 29, 2021 9 week classes
Fall Break October 14-17, 2021
Practicum in CE II November 1-December 10, 2021 Full-time 6 weeks
Apply for
Graduation
FlashLine application
available October - January
Spring 2022 Semester 4 Jan 18–May 12, 2022
Classes Jan 18-March 11, 2022 8 week classes
Spring Recess March 14-18, 2022 NOTE: This break is
different from the KSU
Academic Calendar
Practicum in CE III March 21-May 6, 2022 Full-time, 7 weeks
Capstone Week May 9-12, 2022
Graduation May 13, 2022
National PTA
Examination
July, 2022
*NOTE: Under certain circumstances, PTST students in Practicum courses are required to attend clinicals on days outside of the academic
calendar. These circumstances may occur on scheduled or unscheduled campus closures or on days when classes are cancelled, but the campus
remains open. Examples include: certain holidays, spring recess, snow days, and/or prior to the start of semesters.
P a g e | 20
Anticipated Tuition & Fee Costs for the PTST Technical Study Students
(Revised May 2019 for academic year 2019-20)
Anticipated tuition and fees incurred by PTST and PTST-ATT students in academic year 2018-19 are based on
current information provided by the Kent State University Bursar’s Office. Costs per semester will vary, depending on
academic load, courses previously completed, and the delivery method. Please note that tuition and fees reflect the
amount approved for academic year 2018-19 and are subject to change.
A. Summary of Expected Costs per Course
Course Credit
Hour
Tuition 1 Course
Fees 4
Additional Fees for
Online Courses5
Textbooks 7 Subscriptions
Ohio 2 Non-Ohio
Resident 3 Ohio
Non-Ohio
Resident
AHS 12010 1 $258 $620 -- $12 $22 0
AHS 12005 3 $774 $1860 -- $36 $66
AHS 22002 3 $774 $1860 -- -- -- $135
AHS 22003 1 $258 $620 -- -- --
AHS 24010 1 $258 $620 -- $12 $22 $48
BSCI 11010 3 $774 $1860 -- --
BSCI 11020 3 $774 $1860 -- --
PSYC 11762 3 $774 $1860 $462 $492
Kent Core 15 $3870 $9,300 $154/h
r $164/hr
PTST 10000 1 $258 $620 -- $12 $22 $40
PTST 10001 4 $1032 $2480 $48 -- -- $106 $118
CastleBranch
PTST 10003 2 $516 $1240 $24 $44 $95
PTST 10004 4 $1032 $2480 $48 -- -- $78
PTST 10010 8 $2064 $4960 -- -- -- $355 $60-$180
CastleBranch
PTST 11005 2 6 $516 $1240 $24 $24 $44 $35
PTST 11092 1 $258 $620 $12 -- -- 0
P a g e | 21
PTST 20003 2 $516 $1240 -- -- $73
PTST 20004 4 $1032 $2480 $48 -- -- $90
PTST 20006 4 $1032 $2480 $48 -- -- $165
PTST 20008 2 $516 $1240 $24 $44 0
PTST 22005 2 6 $516 $1240 $24 $24 $44 0 $90 APTA
Membership
PTST 22007 2 6 $516 $1240 $24 $24 $44 $75
PTST 22092 2 $516 $1240 $24 -- -- 0
PTST 23092 2 $516 $1240 $24 -- -- 0
1. Tuition and fees are established annually by the KSU Board of Directors. 2. Ohio Residents: $258 per credit hour; or $2,832 for 11-18 credit hours. 3. Non-Ohio Residents: $620 per credit hour; or $6,932 for 12-18 credit hours or more per semester. (Students in the
following counties are eligible for a tuition surcharge reduction: Brooke, Hancock, and Ohio counties in West Virginia; Allegheny, Beaver, Butler, Crawford, Erie, Lawrence, and Mercer counties in Pennsylvania. Contact financial aid for details.)
4. PTST Course/Program Fees: $12 per credit hour in selected courses. 5. Distance Learning fees for fully online courses: Resident = $12.00/hr, Non-Ohio Resident = $22.00/hr. 6. Beginning in Fall 2016, PTST 11005, 22005 & 22007 changed from 1 credit hour to 2 credit hour courses. 7. Barnes & Noble Textbook pricing 8. Castle Branch background check and clinical requirements tracking. Cost range dependent on state and additional
clinical requirements. 9. APTA student membership
P a g e | 22
B. Cost to complete all course requirements on the PTST or PTST-ATT Roadmap.
PTST
East Liverpool
PTST
Ashtabula
PTST-ATT
Ashtabula
Credit
Hour
In-State
Tuition
Credit
Hour
In-State
Tuition
Credit
Hour
In-State
Tuition
Out of State
tuition
Summer 10 $2580 -- -- --
Semester 1 12 $2832 14 $2832 12 $2832 $7014
Summer -- 8 $2064 --
Semester 2 16 $2832 16 $2832 15 $2832 $7014
Summer 1 $258 -- --
Semester 3 13 $2832 12 $2832 9 $2322 $5580
Summer -- 2 $516 --
Semester 4 13 $2832 13 $2832 6 $1548 $3720
Tuition $14,166 $13,908 $9,534 $23,328
Course Fees $324 1 $324 1 $228 1 $228 1
Textbooks &
Subscriptions
$1,138 $1,138 $1,138 $1,138
Distance Learning
/ Online Fees
Not Required Not Required $654 $844
TOTAL $15,628 $15,370 $11,554 $25,538
1. Course Fees: PTST Technical Study: Disposable lab supplies, Gait Belt & Goniometer, Nametag, CPI Web, Exercise Pro Live Subscription, Theraband Sample Pack, Online Advantage exam, NPTE Review Course
2. Course Fees: PTST-ATT Technical Study: Disposable lab supplies, Exercise Pro Live subscription, Gait Belt & Goniometer, Nametag, CPI Web, Online Advantage exam.
C. Additional Expenses normally incurred by PTST & PTST-ATT students.
Physical examination and current immunizations (Cost varies by provider)
CPR certification (Approximately $35-50)
Clinical education expenses: Travel, uniform, meals, drug test, additional background checks
Fees associated with becoming licensed (Approximately $750)
Cost for travel, lodging and meals to attend the six (6) required on-campus ATT 3-day lab weekends.
P a g e | 23
Instructions for the
Observation & Recommendation Form
Instructions for Students – PART I
Print applicant name and contact information
Print clinic site name and contact information
Provide beginning date, end date and total observation hours
BE SURE TO USE THE CORRECT FORM FOR INPATIENT/OUTPATIENT/BONUS
Indicate the patients and/or settings observed providing PT services
Sign and date the declarations.
Provide this form to a licensed PT or PTA for completion of PART II.
Instructions for Clinicians – PART II
The Observation and Recommendation form must be completed by a licensed PT or PTA
The person completing the form should be the person who spent a significant amount of the time with the
student.
Observation and Recommendation forms are not accepted from relatives of the applicant.
Once the applicant signs the waiver, they are NEVER allowed to see the Observation and Recommendation
Form.
The therapist’s honest and forthright responses are essential to the application and selection process.
Please contact the PTA program office with any questions about either the recommendation process, or the
PTA program at KSU.
FAX or mail the Observation and Recommendation Form before the April 1st application deadline
Physical Therapist Assistant Program
Kent State University at East Liverpool FAX: 330-382-7564
400 E. Fourth Street Phone: 330-382-7448
East Liverpool, OH 43920
Thank You Clinicians:
The time you take to introduce future PTA student to the physical therapy profession is very much appreciated.
Your recommendation is used to help determine which applicants are selected for the incoming class in the Physical
Therapist Assistant Technology Program at Kent State. We hope this process is enjoyable for you, and rewarding
for the applicant. We truly appreciate your honest and candid opinion.
P a g e | 24
Kent State University Physical Therapist Assistant Program
2020 INPATIENT Observation & Recommendation Form
PART I: Completed by Applicant
Applicant Name (print)_______________________ Phone (____) ____________ KSU Email ______________
Clinic Site Name _____________________________________ PT Dept. Phone (____) ________________
Address _______________________________________________________________________________
Observation Dates ___/___/_____ to ___/___/______
Total Hours at this Clinic _________
Applicant Declarations:
I am aware that any dishonesty will disqualify my
application to PTST technical study.
My signature waives my right to review this completed form.
Applicant Signature ____________________________________________ Date__________________
PART II: Completed by a LICENSED PT or PTA
Rate the applicant on each of these behavioral characteristics as
demonstrated during the observation time. (Please mark one box for each
characteristic)
Evaluating Therapist Name (print)__________________________________________Date _______________
Signature ___________________________________________________ State & License # _______________
MAIL or FAX directly to KSU PTA Program FAX: 330-382-7564
CHARACTERISTIC Good Fair Poor
1. Reliability / Accountability
2. Verbal / Non-verbal Communication
3. Interpersonal Skills
4. Inquisitiveness, Motivation & Independence
5. Professionalism, Maturity, Ability to work with others
6. Intellectual Potential, Judgment & Common Sense
Recommendation of this
applicant. (Select One)
Highly recommended
Recommended
Recommended with
reservation
Not recommended
Check all observed PT services.
__ Acute care __ Pediatrics
__ Sub acute care __ Geriatrics
__ Skilled Nursing __ Athletes
__ Rehabilitation __Wellness Center
__ Home Health __ School
__ Hospital __ Private Practice
__ Orthopedics __ Work Setting
__ Neuromuscular __ Cardiopulmonary
P a g e | 25
Instructions for the
Observation & Recommendation Form
Instructions for Students – PART I
Print applicant name and contact information
Print clinic site name and contact information
Provide beginning date, end date and total observation hours
Indicate if Inpatient (patient stays overnight at the facility) or Outpatient ( patient travels to clinic
site)
Indicate the patients and/or settings observed providing PT services
Sign and date the declarations.
Provide this form to a licensed PT or PTA for completion of PART II.
Instructions for Clinicians – PART II
The Observation and Recommendation form must be completed by a licensed PT or PTA
The person completing the form should be the person who spent a significant amount of the time with the
student.
Observation and Recommendation forms are not accepted from relatives of the applicant.
Once the applicant signs the waiver, they are NEVER allowed to see the Observation and Recommendation
Form.
The therapist’s honest and forthright responses are essential to the application and selection process.
Please contact the PTA program office with any questions about either the recommendation process, or the
PTA program at KSU.
FAX or mail the Observation and Recommendation Form before the April 1st application deadline
Physical Therapist Assistant Program
Kent State University at East Liverpool FAX: 330-382-7564
400 E. Fourth Street Phone: 330-382-7448
East Liverpool, OH 43920
Thank You Clinicians:
The time you take to introduce future PTA student to the physical therapy profession is very much appreciated.
Your recommendation is used to help determine which applicants are selected for the incoming class in the Physical
Therapist Assistant Technology Program at Kent State. We hope this process is enjoyable for you, and rewarding
for the applicant. We truly appreciate your honest and candid opinion.
P a g e | 26
Kent State University Physical Therapist Assistant Program
2020 OUTPATIENT Observation & Recommendation Form
PART I: Completed by Applicant
Applicant Name (print)_______________________ Phone (____) ____________ KSU Email ______________
Clinic Site Name _____________________________________ PT Dept. Phone (____) ________________
Address _______________________________________________________________________________
Observation Dates ___/___/_____ to ___/___/______
Total Hours at this Clinic _________
Applicant Declarations:
I am aware that any dishonesty will disqualify my
application to PTST technical study.
My signature waives my right to review this completed form.
Applicant Signature ____________________________________________ Date__________________
PART II: Completed by a LICENSED PT or PTA
Rate the applicant on each of these behavioral characteristics as
demonstrated during the observation time. (Please mark one box for each
characteristic)
Evaluating Therapist Name (print)__________________________________________Date _______________
Signature ___________________________________________________ State & License # _______________
MAIL or FAX directly to KSU PTA Program
FAX: 330-382-7564
CHARACTERISTIC Good Fair Poor
1. Reliability / Accountability
2. Verbal / Non-verbal Communication
3. Interpersonal Skills
4. Inquisitiveness, Motivation & Independence
5. Professionalism, Maturity, Ability to work with others
6. Intellectual Potential, Judgment & Common Sense
Recommendation of this
applicant. (Select One)
Highly recommended
Recommended
Recommended with
reservation
Not recommended
Check all observed PT services.
__ Acute care __ Pediatrics
__ Sub acute care __ Geriatrics
__ Skilled Nursing __ Athletes
__ Rehabilitation __Wellness Center
__ Home Health __ School
__ Hospital __ Private Practice
__ Orthopedics __ Work Setting
__ Neuromuscular __ Cardiopulmonary
P a g e | 27
Instructions for the
Observation & Recommendation Form
Instructions for Students – PART I
Print applicant name and contact information
Print clinic site name and contact information
Provide beginning date, end date and total observation hours
Indicate if Inpatient (patient stays overnight at the facility) or Outpatient ( patient travels to clinic
site)
Indicate the patients and/or settings observed providing PT services
Sign and date the declarations.
Provide this form to a licensed PT or PTA for completion of PART II.
Instructions for Clinicians – PART II
The Observation and Recommendation form must be completed by a licensed PT or PTA
The person completing the form should be the person who spent a significant amount of the time with the
student.
Observation and Recommendation forms are not accepted from relatives of the applicant.
Once the applicant signs the waiver, they are NEVER allowed to see the Observation and Recommendation
Form.
The therapist’s honest and forthright responses are essential to the application and selection process.
Please contact the PTA program office with any questions about either the recommendation process, or the
PTA program at KSU.
FAX or mail the Observation and Recommendation Form before the April 1st application deadline
Physical Therapist Assistant Program
Kent State University at East Liverpool FAX: 330-382-7564
400 E. Fourth Street Phone: 330-382-7448
East Liverpool, OH 43920
Thank You Clinicians:
The time you take to introduce future PTA student to the physical therapy profession is very much appreciated.
Your recommendation is used to help determine which applicants are selected for the incoming class in the Physical
Therapist Assistant Technology Program at Kent State. We hope this process is enjoyable for you, and rewarding
for the applicant. We truly appreciate your honest and candid opinion.
P a g e | 28
Kent State University Physical Therapist Assistant Program
2020 BONUS Observation & Recommendation Form
PART I: Completed by Applicant
Applicant Name (print)_______________________ Phone (____) ____________ KSU Email ______________
Clinic Site Name _____________________________________ PT Dept. Phone (____) ________________
Address _______________________________________________________________________________
Observation Dates ___/___/_____ to ___/___/______
Total Hours at this Clinic _________
Applicant Declarations:
I am aware that any dishonesty will disqualify my
application to PTST technical study.
My signature waives my right to review this completed form.
Applicant Signature ____________________________________________ Date__________________
PART II: Completed by a LICENSED PT or PTA
Rate the applicant on each of these behavioral characteristics as
demonstrated during the observation time. (Please mark one box for each
characteristic)
Evaluating Therapist Name (print)__________________________________________Date _______________
Signature ___________________________________________________ State & License # _______________
MAIL or FAX directly to KSU PTA Program
FAX: 330-382-7564
CHARACTERISTIC Good Fair Poor
1. Reliability / Accountability
2. Verbal / Non-verbal Communication
3. Interpersonal Skills
4. Inquisitiveness, Motivation & Independence
5. Professionalism, Maturity, Ability to work with others
6. Intellectual Potential, Judgment & Common Sense
Recommendation of this
applicant. (Select One)
Highly recommended
Recommended
Recommended with
reservation
Not recommended
Check all observed PT services.
__ Acute care __ Pediatrics
__ Sub acute care __ Geriatrics
__ Skilled Nursing __ Athletes
__ Rehabilitation __Wellness Center
__ Home Health __ School
__ Hospital __ Private Practice
__ Orthopedics __ Work Setting
__ Neuromuscular __ Cardiopulmonary